PAUL D. PATE                                          APPLICATION FOR

             Secretary of State                                               RESERVATION

                     State of Iowa                                                     OF NAME

       TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
          The undersigned applies to reserve exclusive use of a business organization name, pursuant to the: (check one)
             Iowa Business Corporation Act (profit corporations)

             Revised Iowa Nonprofit Corporation Act (nonprofit corporations)

             Iowa Revised Uniform Limited Liability Company Act

             Iowa Uniform Limited Partnership Act - The new applicant is: (check one)

             A person intending to organize a limited partnership under this chapter and to adopt the name.
             A limited partnership or a foreign limited partnership authorized to transact business in this state
             intending to adopt the name.
             A foreign limited partnership intending to obtain a certificate of authority to transact business in
             this state and adopt the name.
             A person intending to organize a foreign limited partnership and intending to have it obtain a
             certificate of authority to transact business in this state and adopt the name.
             A foreign limited partnership formed under the name.
             A foreign limited partnership formed under a name that does not comply with section 488.108,
             subsection 2 or 3.

             Iowa Cooperative Associations Act (Iowa Code Ch. 501A)

       1. The name to be reserved is________________________________________________________________

       2. The name and address of the applicant is
          Name ________________________________________________________________________________
          Address_______________________________________________________________________________
          City, State, Zip _________________________________________________________________________

       Signature_________________________________________________________________________________
       Type or print name & title ____________________________________________________________________
       Date ____________________________

       NOTES:
       1. The filing fee is $10.00. Make checks payable to SECRETARY OF STATE.
       2. The information you provide will be open to public inspection under Iowa Code chapter 22.11.

                                            SECRETARY OF STATE
                                        Business Services Division
                                        Lucas Building, 1st Floor
                                            Des Moines, Iowa 50319
                                            Phone:  (515) 281-5204
635_0051                                    FAX:   (515) 242-5953
rev 1/15                                    Website: sos.iowa.gov